Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.94 / $129.91 / $200.28	Facility		$89.94	$129.91	$200.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $86.48 / $246.85	Professional		$62.32	$86.48	$246.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.96 / $91.96 / $91.96	Facility		$91.96	$91.96	$91.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $149.38 / $212.98	Professional		$78.73	$149.38	$212.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $170.42 / $191.69	Professional		$126.74	$170.42	$191.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.11 / $134.88 / $187.29	Facility		$82.11	$134.88	$187.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $132.47 / $256.76	Professional		$106.08	$132.47	$256.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $136.01 / $161.47	Facility		$99.32	$136.01	$161.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.11 / $146.93 / $205.09	Facility		$82.11	$146.93	$205.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $162.24 / $205.09	Professional		$110.16	$162.24	$205.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.91 / $189.72 / $252.81	Professional		$129.91	$189.72	$252.81
United Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $136.37 / $265.29	Professional		$98.87	$136.37	$265.29